Provider Demographics
NPI:1285145151
Name:ROKHINSON, GALA
Entity type:Individual
Prefix:
First Name:GALA
Middle Name:
Last Name:ROKHINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 1/2 LEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08542-3112
Mailing Address - Country:US
Mailing Address - Phone:609-240-2623
Mailing Address - Fax:
Practice Address - Street 1:200 NASSAU ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-4613
Practice Address - Country:US
Practice Address - Phone:609-921-8820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator